Comments on: Don’t Just Bolus, SUPER BOLUS

By: Dave

Dave — Wed, 09 May 2007 20:44:44 +0000

I have read this post and I have read John Walsh’s Power Point on Super Bolusing. How is this different than doing a dual wave bolus using a Minimed 522 or 722? I use a dual wave for carb laden meals or I could use it for highs if it were needed. Can someone please explain?

Dave

By: Doug Burns

Doug Burns — Mon, 07 May 2007 22:48:58 +0000

Hey Amy/everyone,

I agree – using a super bolus is an ideal method for both dropping an elevated blood glucose and covering a carb-laden meal.

I’ve had T1 diabetes for the last 35 years… so long ago the syringes used back then were the size of nails! I know the pain diabetes can create in daily life but I also know that with the obstacles presented it becomes our decision to step above them. From my experience, the pump has been a far more consistent and acurate way to control my eating as well as my exercise and life in general.

This is my first posting to this site btw, and I think what you’re doing is very important, Amy. So important, in fact, that I’ve focused my life right now to creating an online community based on these issues. I’m also based in the Silicon Valley, not far from you. Keep it up! Thank you.

Sincerely,

Doug Burns

By: julia

julia — Sun, 06 May 2007 15:47:23 +0000

I’d forgotten about the super bolus. I’m going to have to try this with O next time she’s really high. She gets some really stubborn highs and it’s so tempting to rage bolus her – I sometimes have to walk away from the pump for a second before treating because I get so frustrated. I don’t want to do something stupid and send her low.

By: Wendy

Wendy — Sat, 05 May 2007 06:04:58 +0000

I use this super bolus when I am super high also. It works like a charm. I find if I am up above 300. I superbolus if I remember and it works fantastically.

By: Living With Diabetes

Living With Diabetes — Sat, 05 May 2007 05:40:32 +0000

Diabetes Mine: Don’t Just Bolus, SUPER BOLUS

Amy is writing about the Super Bolus. I freely admit, I’vejust never gotten the Super Bolus– but then I also have problems with extended boluses. Not entirely new, but totally worth revisiting: pumping aficionado John Wal…

By: Bernard Farrell

Bernard Farrell — Sat, 05 May 2007 04:12:18 +0000

I’ve tried this approach several times since first learning about it. Generally I use it to correct very high readings.

It’s never caused me any issues with lows, and given how the insulin is being delivered I have to believe this is a way to get highs down to normal faster.

By: Tesney

Tesney — Sat, 05 May 2007 02:15:26 +0000

I may have to try that tomorrow during my son’s one-year birthday party…I’ve been worried about having cake AND ice cream…that would typically mess up my BG level for hours. I’m going to read up on it and I’ll let you know how it goes.

By: Scott K. Johnson

Scott K. Johnson — Sat, 05 May 2007 02:03:56 +0000

I too have been working up my nerve to try it – I think it sounds like a great concept and coming from Walsh I’m sure it works well too.

By: Sarah

Sarah — Fri, 04 May 2007 22:14:48 +0000

Thanks Amy for posting this! I have been doing something similar. If I’m eating something high GI, I bolus a lesser amount and wait for a bit, and increase my basal for 1.5 hours. I also increase my basal in addition to a bolus when high. It brings me down MUCH quicker.

If my blood sugars are normal and I still have excess insulin on board post meal, I decrease my basal to 40% for the remainder of the time I will still have insulin on board, minus 30 minutes. It works perfectly more often than not.

Any other ratio or basal and no such luck! You need to find what works best for you.

Thanks again for making people aware of how to do this and similar alternative dosings.